Results 1 to 3 of 3

ER visit vs Consult

  1. Default ER visit vs Consult
    Medical Coding Books
    If our physician sees a patient in the ER before another physician admits the patient on the same day, do we bill the 9924* or 9925*? I hope this question makes sense. Can anyone enlighten me regarding this?

    What code would the next day be if it is the 9924*?

    If you bill the 9924* code, would the next day seen be 9923* or 9925*?

    I keep getting mixed answers from other employees and I want to make sure we are billing correctly.



  2. #2
    Is it truly a consult in the ER? If it is a consult and the patient is not yet admitted it would be 9924X.

    If they are following up once the patient is inpatient you would go to subsequent care 9923X.

    The fact that they are following up makes me think it may not be a consult at all, but a transfer of care.

    Laura, CPC

  3. Default
    Our physician did not indicate if it was before admission. I have to sort this one out with some research. Looks like he was the on-call Dr. and seen the patient before patient was admitted for another reason.

    There was no transfer of care established at this moment.

    Thank you for your help. I hate second guessing when other people give you some input.

    Kim, CPC

Similar Threads

  1. New pt or Consult visit?
    By Jess1980 in forum Gastroenterology
    Replies: 1
    Last Post: 11-20-2014, 10:10 AM
  2. Visit before consult
    By medicalsec in forum E/M
    Replies: 2
    Last Post: 12-07-2010, 06:41 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.